Individual provider Active NPI

Lauren Lovelace, PT

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1457744294
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42406 Issued in CA
Practice address
7700 Folsom Auburn Rd Ste 130
Folsom, CA 95630-6637
Phone
(360) 303-4679
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42406 CA Primary

Addresses

Primary practice location

7700 Folsom Auburn Rd Ste 130
Folsom, CA 95630-6637

Mailing address

122 Coralie Way Ste 35
Folsom, CA 95630-3303
Phone (360) 303-4679

Other practice location 1

705 Gold Lake Dr
Suite 350
Folsom, CA 95630-2535
Phone (916) 939-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42406CAMDMarriage & Family Therapist
PT42406CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Concepts, Inc. PastSince May 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457744294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CORALIE WAY STE 35",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303303",
            "telephone_number": "360-303-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 FOLSOM AUBURN RD STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306637",
            "telephone_number": "360-303-4679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Gold Lake Dr",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956302535",
            "country_code": "US",
            "telephone_number": "916-939-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "LAUREN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.